Gerry Broome, Associated Press
PORTLAND, Ore. — With federal and state online health care marketplaces experiencing glitches a month into implementation, concern is mounting for a vulnerable group of people who were supposed to be among the health law's earliest beneficiaries.
Hundreds of thousands of people across the country with pre-existing chronic conditions such as cancer, heart failure or kidney disease who are covered through high risk-insurance pools will see their coverage dissolve by year's end.
They are supposed to gain regular coverage under the Affordable Care Act, which requires insurers to cover those with severe medical problems. But many of them have had trouble signing up for health insurance through the exchanges and could find themselves without coverage in January if they don't meet a Dec. 15 deadline to enroll.
Administration officials say the federal exchange, which covers more than half the states, won't be working probably until the end of November, leaving people just two weeks to sign up if they want coverage by Jan. 1.
"These individuals can't be without coverage for even a month," said Tanya Case, the chairwoman of the National Association of State Comprehensive Health Insurance Plans, which represents the nation's high-risk pools. "It's a matter of life or death."
High-risk pools were created by state legislatures to provide a safety net for people who have been denied or priced out of coverage. The Affordable Care Act will forbid insurers from turning away people in poor health. And while coverage can be purchased outside the exchanges, those who qualify for subsidies can only get them through a state or federal marketplace.
More than a dozen of the 35 states that run insurance pools for people with serious medical issues will permanently close their pools within a month and half. Other states will keep their pools running for a few more months.
The federal pool covers about 100,000 people and was created in 2010 by the Affordable Care Act as a temporary bridge until the law fully kicks in. It will cease to exist at the end of December.
"I'm scared. I'm in the middle of my cancer treatment, and if my insurance ends, I'm going to have to cancel the rest of my treatment," said Kelly Bachi, an Oklahoma boat repair business owner who has breast cancer and is covered through a pool.
Cancer treatment without insurance would cost her about $500,000, she said.
Bachi has not been able to enroll via the healthcare.gov federal website, although not for lack of trying. She attempted to sign up half a dozen times, was eventually able to create an account, but was later blocked from accessing the account.
Others — including Jill Morin of Raleigh, N.C., who has a severe heart condition and is covered by her state's pool — have not attempted to enroll.
"It's the unknown, the uncertainty that gets to me," Morin, 42, said. "I don't know what my cost will be at the end of the day. I don't know if my two cardiologists and my procedures are going to be covered under the plan. There just isn't enough information on that website."
But, she said, she has no choice. She must pick a plan soon because she can't afford to go without. She plans to go to an insurance broker for advice, then contact the federal call center to bypass the online marketplace altogether.
State officials throughout the nation have been scrambling to figure out how to help people like Bachi and Morin.
Last week, the board of the Oregon Medical Insurance Pool — which covers about 11,000 people — ordered the state to create a contingency plan for its members because the state's online exchange still has not enrolled a single person.
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